Individual provider Active NPI

Matthew James Macdonald, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hackensack, NJ
National Provider Identifier
1346810330
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA13031200 Issued in NJ
Practice address
Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601
Phone
(201) 343-6676
Fax
(201) 343-6689
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Epilepsy Physician 2084E0001X 341624 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA13031200 NJ Primary

Addresses

Primary practice location

Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601

Mailing address

Northeast Regional Epilepsy Group
20 Prospect Ave Suite 800
Hackensack, NJ 07601
Phone (201) 343-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001120 NJ Practitioner - Neurology 9931677531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Toronto, Faculty of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 Westchester Ave
Suite E104
White Plains, NY 10604-2930

PO Box
Chattanooga, TN 37422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA13031200NJMDNeurology with Special Qualifications in Child Neurology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1346810330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEAST REGIONAL EPILEPSY GROUP",
            "address_2": "20 PROSPECT AVE SUITE 800",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-343-6676",
            "fax_number": "201-343-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHEAST REGIONAL EPILEPSY GROUP",
            "address_2": "20 PROSPECT AVE SUITE 800",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-343-6676",
            "fax_number": "201-343-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NY",
            "license": "341624",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA13031200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.